91 Medical Specialists’ Perspectives on the Influence of Electronic Medical Record Use For the analysis of the answers, we used the classification of aspects that can influence the implementation of EMR systems based on the taxonomy of Boonstra et al 15. This systematic literature review was carried out to identify all the barriers that result in physicians showing resistance towards EMR systems. Table 2 shows the headlines of this taxonomy model. Table 2 - Summary of categories quote category description ‘technical’ the technical aspects of the systems, the technical capabilities of the physicians and the suppliers ‘psychological’ concerns regarding the use of EMRs that are based on their personal issues, knowledge, and perceptions. ‘social’ The relation with the patient and fellow care providers, but also with suppliers, insurers, and politicians. ‘time’ time required to select, implement, and learn how to use EMR systems, and subsequently enter data into the system ‘finance’ financial issues including those related to the monetary issues involved in implementing EMR systems ‘legal’ Privacy or security concerns regarding patients’ medical information ‘organization’ Organisational characteristics, such assize and type of the individual practices. ‘change process’ The influence of the organisational culture, incentives, community level participation and leadership We used this taxonomy for the same aspects in a neutral connotation, as the same taxonomy can be followed when categorizing aspects as facilitators. All authors participated in the allocation of aspects from the interviews to a factor of the described taxonomy, with initial allocation by the first author and validation by the second and third. The results were recorded in an Excel-file that is available on request from the first author. Based on this classification and the primary interview recordings, the authors reached consensus about the best way to allocate quotes to the categories of the taxonomy. All authors agreed with the final allocation of quotes. Ethics approval and consent to participate As this study did not involve research on patients or human subjects, no ‘Medical Ethical Committee’ approval was required under Dutch law. Neither the Dutch Medical Research Involving human subjects Act (WMO), Wet Medisch-Wetenschappelijk Onderzoek met 6
RkJQdWJsaXNoZXIy MjY0ODMw